Provider Demographics
NPI:1730260506
Name:VANDE VEEGAETE, RICHARD I (DC)
Entity type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:I
Last Name:VANDE VEEGAETE
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3470 MASTERSON CIR
Mailing Address - Street 2:
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59106-9651
Mailing Address - Country:US
Mailing Address - Phone:406-245-9945
Mailing Address - Fax:406-238-0297
Practice Address - Street 1:3470 MASTERSON CIR
Practice Address - Street 2:
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59106-9651
Practice Address - Country:US
Practice Address - Phone:406-245-9945
Practice Address - Fax:406-238-0297
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT322111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor